2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With

Circulation
|November 15, 2019
PubMed

Insights

This annual review summarizes the latest cardiopulmonary resuscitation (CPR) science and treatment recommendations. It covers critical areas like cardiac arrest centers, extracorporeal CPR, and advanced airway interventions for improved resuscitation outcomes.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Resuscitation Science

Background:

  • The International Liaison Committee on Resuscitation (ILCOR) continuously reviews new cardiopulmonary resuscitation (CPR) science.
  • This is the third annual summary of ILCOR's International Consensus on CPR and Emergency Cardiovascular Care Science With Treatment Recommendations.

Purpose of the Study:

  • To present the most recent peer-reviewed resuscitation evidence reviewed by ILCOR Task Force experts.
  • To provide consensus treatment recommendations based on the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria.

Main Methods:

  • Review of recently published, peer-reviewed cardiopulmonary resuscitation (CPR) science by ILCOR Task Force experts.
  • Assessment and debate of evidence certainty using the GRADE criteria.
  • Development of consensus treatment recommendations.

Main Results:

  • Summaries of evidence and treatment recommendations on cardiac arrest centers, dispatcher-assisted CPR, extracorporeal CPR (ECPR) in adults and children, vasopressors, advanced airway interventions, targeted temperature management in children, neonatal resuscitation oxygenation, and first aid for presyncope.
  • Identification of priority knowledge gaps for future research.

Conclusions:

  • The ILCOR consensus provides updated treatment recommendations for various aspects of resuscitation and emergency cardiovascular care.
  • The review highlights areas requiring further research to advance resuscitation science.

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